Tcmh Family Clinic - Licking - Medicare Primary Care in Licking, MO

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Tcmh Family Clinic - Licking is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Licking, Missouri. The current practice location for Tcmh Family Clinic - Licking is Main & Myers, Licking, Missouri. For appointments, you can reach them via phone at (573) 674-3011. The mailing address for Tcmh Family Clinic - Licking is Main & Myers, Po Box 47, Licking, Missouri and phone number is (573) 674-3011.

Tcmh Family Clinic - Licking is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235178930. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (573) 674-3011.

Contact Information

Tcmh Family Clinic - Licking
Main & Myers
Licking
MO 65542-9027
(573) 674-3011
(573) 674-4765

Map and Direction


Primary Care Clinic Profile

Full NameTcmh Family Clinic - Licking
SpecialityClinic/Center
LocationMain & Myers, Licking, Missouri
Authorized Official Name and PositionLinda J. Pamperien (CHIEF FINANCIAL OFFICER)
Authorized Official Contact4179673311
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tcmh Family Clinic - Licking
Main & Myers
Po Box 47
Licking
MO 65542-9027

Ph: (573) 674-3011		Tcmh Family Clinic - Licking
Main & Myers
Licking
MO 65542-9027

Ph: (573) 674-3011

NPI Details:

NPI Number1235178930
Provider Enumeration Date06/06/2006
Last Update Date06/20/2008

Medicare PECOS Information:

Medicare PECOS PAC ID9436041696
Medicare Enrollment IDO20041020000359

Medical Identifiers

Medical identifiers for Tcmh Family Clinic - Licking such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235178930NPI-NPPES
26D0679044OtherMOCLIA
505288902MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tcmh Family Clinic - Licking acts as a billing entity for following providers:
Provider NameJessica Renee King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649434200
PECOS PAC ID: 6608907977
Enrollment ID: I20100630000472
Provider NameDouglas A Crase
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295115236
PECOS PAC ID: 6002120110
Enrollment ID: I20180626001861
Provider NameSamantha D Welch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932734092
PECOS PAC ID: 7517397573
Enrollment ID: I20200415002855
Provider NameLatricia Juneau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770171514
PECOS PAC ID: 1850705773
Enrollment ID: I20210203002783
Provider NameJohn R Carr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154816858
PECOS PAC ID: 5698027837
Enrollment ID: I20210805001683
Provider NameStephanie A Thurman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043966724
PECOS PAC ID: 5193193571
Enrollment ID: I20221115003060
Provider NameWilliam R Errico
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366529570
PECOS PAC ID: 9830222082
Enrollment ID: I20230801002516

Reviews and Comments


Clinic/Center in Licking, MO

Tcmh Family Clinic - Licking
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 233 South Main Street, Licking, MO 65542
Phone: 573-674-3011    Fax: 573-674-4765
Douglas County Public Health Services Group, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 135 College Ave., Licking, MO 65542
Phone: 417-683-4831    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.